Fix patient show 500 when assessment catalog reseed hits live answers.

ensureAssessmentCatalog was re-running AssessmentTemplateSeeder whenever
nursing packs were missing; the seeder hard-deleted questions and blew up
on FK care_assessment_answers. Upsert questions by code, only drop unused
orphans, and never let catalog ensure throw on web requests.

Co-authored-by: Cursor <cursoragent@cursor.com>

app/Services/Care/CareFeatures.php

@@ -8,7 +8,9 @@ use App\Models\Organization;
 use Database\Seeders\AssessmentTemplateSeeder;
 use Database\Seeders\ClinicalPathwaySeeder;
 use Illuminate\Support\Facades\Artisan;
+use Illuminate\Support\Facades\Log;
 use Illuminate\Support\Facades\Schema;
+use Throwable;
 
 /**
  * Product rollout flags stored under organization settings.rollout.*
@@ -66,8 +68,21 @@ class CareFeatures
     /**
      * Ensure platform assessment/pathway catalog exists (idempotent seed).
      * Call when the engine is enabled so consult/patient UI has templates.
+     * Never throws — web requests must not 500 if catalog seed races with live answers.
      */
     public function ensureAssessmentCatalog(): void
+    {
+        try {
+            $this->seedAssessmentCatalogIfNeeded();
+        } catch (Throwable $e) {
+            Log::warning('ensureAssessmentCatalog failed', [
+                'message' => $e->getMessage(),
+                'exception' => $e::class,
+            ]);
+        }
+    }
+
+    protected function seedAssessmentCatalogIfNeeded(): void
     {
         if (! Schema::hasTable('care_assessment_templates')) {
             return;

database/seeders/AssessmentTemplateSeeder.php

@@ -94,18 +94,16 @@ class AssessmentTemplateSeeder extends Seeder
                     ->update(['is_current' => false]);
             }
 
-            // Replace questions for this template version (stable codes within version).
-            AssessmentQuestion::query()->where('template_id', $template->id)->delete();
-
+            // Upsert questions by code so live answers keep their FK targets.
+            $keptCodes = [];
             $sort = 0;
             foreach ($data['questions'] as $q) {
                 if (empty($q['code']) || empty($q['label']) || empty($q['answer_type'])) {
                     throw new RuntimeException("Invalid question in pack {$path}");
                 }
                 $sort++;
-                AssessmentQuestion::create([
-                    'template_id' => $template->id,
-                    'code' => $q['code'],
+                $keptCodes[] = $q['code'];
+                $attributes = [
                     'section' => $q['section'] ?? null,
                     'label' => $q['label'],
                     'help_text' => $q['help_text'] ?? null,
@@ -115,8 +113,29 @@ class AssessmentTemplateSeeder extends Seeder
                     'sort_order' => (int) ($q['sort_order'] ?? $sort),
                     'score_key' => $q['score_key'] ?? null,
                     'validation' => $q['validation'] ?? null,
-                ]);
+                ];
+
+                $question = AssessmentQuestion::query()
+                    ->where('template_id', $template->id)
+                    ->where('code', $q['code'])
+                    ->first();
+
+                if ($question) {
+                    $question->fill($attributes)->save();
+                } else {
+                    AssessmentQuestion::create(array_merge($attributes, [
+                        'template_id' => $template->id,
+                        'code' => $q['code'],
+                    ]));
                 }
+            }
+
+            // Drop obsolete pack questions only when nothing references them.
+            AssessmentQuestion::query()
+                ->where('template_id', $template->id)
+                ->whereNotIn('code', $keptCodes)
+                ->whereDoesntHave('answers')
+                ->delete();
 
             $this->command?->info(sprintf(
                 'Seeded assessment pack %s v%d (%d questions)',

tests/Feature/CareContentPacksTest.php

@@ -91,4 +91,75 @@ class CareContentPacksTest extends TestCase
         $this->assertTrue($copd->questions()->where('code', 'mmrc')->exists());
         $this->assertTrue($hf->questions()->where('code', 'nyha')->exists());
     }
+
+    public function test_reseed_preserves_questions_that_have_answers(): void
+    {
+        $this->seed(AssessmentTemplateSeeder::class);
+
+        $user = \App\Models\User::create([
+            'public_id' => 'pack-reseed-user',
+            'name' => 'Pack',
+            'email' => 'pack-reseed@example.com',
+        ]);
+        $organization = \App\Models\Organization::create([
+            'owner_ref' => $user->public_id,
+            'name' => 'Pack Clinic',
+            'slug' => 'pack-clinic',
+            'settings' => ['onboarded' => true],
+        ]);
+        $branch = \App\Models\Branch::create([
+            'owner_ref' => $user->public_id,
+            'organization_id' => $organization->id,
+            'name' => 'Main',
+            'is_active' => true,
+        ]);
+
+        $template = AssessmentTemplate::currentSystemByCode('universal_intake');
+        $this->assertNotNull($template);
+        $question = $template->questions()->orderBy('id')->first();
+        $this->assertNotNull($question);
+        $questionId = $question->id;
+
+        $patient = \App\Models\Patient::create([
+            'owner_ref' => $user->public_id,
+            'organization_id' => $organization->id,
+            'branch_id' => $branch->id,
+            'patient_number' => 'P-PACK-1',
+            'first_name' => 'Pack',
+            'last_name' => 'Patient',
+        ]);
+
+        $assessment = \App\Models\Assessment::create([
+            'owner_ref' => $user->public_id,
+            'organization_id' => $organization->id,
+            'branch_id' => $branch->id,
+            'patient_id' => $patient->id,
+            'template_id' => $template->id,
+            'status' => \App\Models\Assessment::STATUS_DRAFT,
+            'assessed_at' => now(),
+        ]);
+
+        \App\Models\AssessmentAnswer::create([
+            'owner_ref' => $user->public_id,
+            'assessment_id' => $assessment->id,
+            'question_id' => $questionId,
+            'value_text' => 'kept',
+        ]);
+
+        // Delete nursing packs so ensureAssessmentCatalog re-runs the seeder.
+        AssessmentTemplate::query()
+            ->whereNull('organization_id')
+            ->whereIn('code', ['news2', 'braden', 'morse', 'pain_nrs'])
+            ->delete();
+
+        app(\App\Services\Care\CareFeatures::class)->ensureAssessmentCatalog();
+
+        $this->assertDatabaseHas('care_assessment_questions', ['id' => $questionId]);
+        $this->assertDatabaseHas('care_assessment_answers', [
+            'assessment_id' => $assessment->id,
+            'question_id' => $questionId,
+            'value_text' => 'kept',
+        ]);
+        $this->assertNotNull(AssessmentTemplate::currentSystemByCode('news2'));
+    }
 }